APPLICATION FOR ADMISSION FOR OFF-CAMPUS PROGRAMS
Your Full Name ____________________________________________________________________________________
(Last Name/ Family) First/Given Middle Initial Maiden Name
Terms: Fall (Sept – Dec) 200__ Spring (Jan – Mar) 200__ Summer I (Apr – June) 200__ Summer II (June – Sept) 200__
Master of Administrative Science (MAS) Bachelor of Arts in Individualized Studies (BAIS)
(30 Credits) Check here if applicable (120 Credits)
MAS – National Guard Personnel
State Affiliation: _______________________ Check: Army Air
MAS – Diplomacy & International Relations
MAS – Intercollege Partnership Program, Cyprus
Graduate or Post Graduate Certificate Programs Undergraduate Certificate Programs
(12-credits/4-courses) 25 Specializations & Concentrations (18-credits/6-courses) 14 Specializations & Concentrations
Credits from the certificate may be applied towards the degree Credits from the certificate may be applied towards the degree
Administrative Science (Generic Certificate) Code & Safety Environment
Advanced Forensics Acquisitions & Analysis Contemporary Cyber Communications
Community Development Correctional Studies & Administration
Computer Security & Forensic Administration  † Disaster & Emergency Management (†Fall 2007)
Construction Leadership & Administration Emergency Medical Services Administration
Correctional Administration & Leadership Fire & Arson Investigation
Diplomacy & International Relations Fire Service Administration
Disability Services Fire Protection Technology
Displaced Persons Administration Health & Human Services Administration
Emergency Management Administration  † Leadership Administration
Forensic Accounting Public Service Administration (Generic Certificate)
Global Emergency Medical Services Administration School Resource Officer Leadership & Administration

Global Health & Human Services Administration Security and Terrorism Studies 
Global Leadership & Administration  Transit Safety & Security  †
†
Global Security & Terrorism Studies
Global Technology Administration (Citigroup Employees)
Human Resources Administration 
Intelligence-Led Policing
International Studies
Law & Public Safety Administration 
Legal Environment Administration
Non-Profit Organization Development 
Park & Recreation Leadership
Public & Non-for-Profit Leadership 
School Security & Safety Administration
Transportation Administration
 Also available online, † National Guard Approved online certificates
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Personal Background
If you have a U.S. Social Security Number, enter it here: _______ - _______ - _____________
1. Your Full Name ____________________________________________________________________________________
(Last Name/ Family) First/Given Middle Initial Maiden Name
2. Permanent home address in the country of Citizenship (Post office boxes may not be used)
Number and street ____________________________________________________________________________________________
City ________________________________________ State___________________ Country____________ Postal Code__________
Phone ( ) ________________ _____ Fax ( ) ________________________ Cell Phone ( ) ______________________
Email __________ ___________________________________
3. Mailing address if different from permanent home address
Number and street ____________________________________________________________________________________________
City ________________________________________ State___________________ Country____________ Postal Code__________
Phone ( ) ________________ _____ Fax ( ) ________________________ Cell Phone ( ) ______________________
Email __________ ___________________________________
4. Present Employer____________________________________________________________________________________________
Work Title/National Guard Rank___________________________________________________________________________
Number and street ____________________________________________________________________________________________
City ________________________________________ State___________________ Country____________ Postal Code__________
Phone ( ) ________________ _____ Fax ( ) ________________________ Cell Phone ( ) ______________________
Email __________ ___________________________________
5. Date of Birth______________________________ 6. Gender: Male Female
MM DD YYYY
7. Will you receive tuition reimbursement from your employer? Yes No
8. Are you a U.S. citizen? Yes No
If no, are you a permanent resident? Yes - Attach a copy of your green card to this application
No - Please complete the following information
Country of Citizenship : __________________________________
VISA Type: F-1 H-1B G Other :_____________
Enrollment Information
9. Admissions Status:
Check all appropriate boxes
Degree – Seeking Student : Matriculating Student Matriculating Student on Probation
Non-Degree-Seeking Student : Credit Classes Certificate Audit
Readmitted Student : Previously attended Fairleigh Dickinson University____________________________________
Dates of Attendance (From/To)
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Educational Background
10. Please list in chronological order all post-secondary schools attended, including graduate and undergraduate colleges, universities,
technical and professional schools. Applicants must list all schools previously attended. Please use an additional sheet if necessary.
Official documentation should be submitted as soon as possible. Graduate Applicants should include a photocopy of transcript or
diploma.
_____________________________________________________________________________________
College or University Name City, State
______________________________________ ________________________________ _______________________________________________
Area of Study Degree Dates Attended
______________________________________________________________________________________
College or University Name City, State
______________________________________ ________________________________ _______________________________________________
Area of Study Degree Dates Attended
_____________________________________________________________________________________
College or University Name City, State
_____________________________________ ________________________________ _______________________________________________
Area of Study Degree Dates Attended
11. Indicate any academic honors or awards you have received ___________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Additional Background Information
12. Discuss your academic objectives and provide any information, including relevant work experience, that your believe would be helpful to
the Admissions Committee when reviewing your application. Please use an additional sheet if necessary.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
13. Indicate your total number of years of full-time work experience. ____________________________________________
Attach resume if available
14. International students, please indicate the dates you have taken or plan to take
TOEFL or IELTS test : ___________________-__________-___________
Month - Year - Score
15. How did you learn about Fairleigh Dickinson University?
FDU Admissions Counselor
Newspaper Ad
FDU Student
Internet
FDU Alumnus
Consultant/ Other _______________________________________
16. OPTIONAL INFORMATION - The following information is optional and will be used for statistical purposes only.
American Indian or Alaskan Native Asian or Pacific Islander (including Indian subcontinent)
White/ Caucasian American (non-Hispanic) Hispanic (including Puerto Rican)
Black/ African American (non-Hispanic) Other ______________________
17. It is agreed and understood that the signing of this application constitutes an agreement on the part of the student to abide by all the rules and
regulations of the University. The University reserves the right to deny admission and matriculation to any applicant who, in the judgment of the
University, is not qualified. Students who accept enrollment at the University agree to abide by all the rules and regulations now or hereafter
promulgated by the University. Any student failing to comply with such rules and regulations may be dismissed or suspended by the University.
Print Name_________________________________________________
Student Signature: Date:
If you wish to provide additional information in support of your application, you may do so. Such information will be kept in strict confidence. No person acting within the scope of his or her
authority and responsibility at Fairleigh Dickinson University shall discriminate on the basis of race, color, creed, sex, national origin, sexual orientation, disability, marital or military status or
age.
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General Information
ADMISSIONS DEADLINES TUITION/ FEES (OFF-CAMPUS)
Fall (Sept – Dec): August 25
Graduate Tuition
Spring (Jan – Mar): December 15
Summer I (Apr – June): March 15 Domestic Students $ 1381.50 per 3-credit course
Summer II (June – Sept) : May 30 (includes 50% Scholarship)
$ 1657.80 per 3-credit course
REQUIRED DOCUMENTS International Students (includes 40% Scholarship)
All applicants must submit official transcripts. For transcripts not in
English, a notarized or certified English translation must Undergraduate Tuition $ 1306.50 per 3-credit course
accompany the original transcript. A transcript is official only when it (includes 50% Scholarship)
is sent directly from an institution to Fairleigh Dickinson University’s
School of Administrative Science, or when it is submitted with the
Facilities Fee $ 50.00 per 3-credit course
application in a sealed envelope stamped by the institution.
(where applicable)
Applicants to Master’s degree must submit official transcripts for a
minimum of four years of previous university study. Registration Fee $17.00 summer term only
Transfer and graduate applicants must submit transcripts from all
post-secondary institutions attended. Information Systems & Part-time, 6 credits or less - $144.00
Technology Fee Per Term Full-time, 9 credits or more – 304.00
English Proficiency – Applicants whose native language is not (Online)
English are required to submit the results of a test of English
proficiency to the Office of International Admissions. Students from Information Systems & $11.00 per credit
Australia, the Bahamas, Bermuda, Canada, Ireland, New Zealand Technology Fee Per Term
and United Kingdom do not need to submit test scores. (In Person)
The TOEFL (Test of English as a Foreign Language) is the most Audit Fee 1 credit + $10.00 registration fee
frequently submitted test. However, applicants may submit the
results of other recognized tests including the IELTS. An IELTS Medical Insurance $845 per year
score of 6.0. A TOEFL-C score of 213 or higher or a score of 79 on
(International Students enrolled
the new TOEFL is recommended for application to Fairleigh in online programs are not
Dickinson University The test code for the TOEFL is 2263 required to enroll in Medical
(Metropolitan Campus). plan)
Applicants who have previously attended an American high school, National Guard Personnel $750 per 3-credit course
college or university for more than two years and have earned No technology fees
passing grades in English courses may request that the
TOEFL/IELTS entrance requirement be waived.
RECORDS
BILLING INFORMATION Change of Name or Address: All changes relating to a student’s
You may enroll in one or two courses in each trimester to qualify for permanent record must be made through the Office of Enrollment
the Scholarship. International students in the US on F1 or J1 visas Services by submitting the appropriate form. Students are responsible
will have to register for 9 credits during Fall and Spring terms. You for ensuring that the University has their correct address.
will be billed directly for the tuition payment after the start of the
trimester. WITHDRAWALS/ NON-ATTENDANCE/ NON-PAYMENT
An official drop form MUST be filed with the Office of Enrollment
IMPORTANT INFORMATION Services. FAILURE TO OFFICIALLY WITHDRAW will result in the
FDU is offering students an additional method to pay tuition through student receiving an “F” grade for the course. Additionally, 100%
an “on-line” service provider, Cashnet Smart Pay. They accept REFUND IS GRANTED ONLY WHEN A STUDENT WITHDRAWS
MasterCard, American Express, Discover & VISA. To access this PRIOR TO THE FIRST DAY OF THE SEMESTER.
service there is a link on http://inside.fdu.edu/ All fees, tuition and Certified Public Manager Program (CPM) GRADUATES
charges are subject to change at any time at the discretion of the May receive six credits toward Fairleigh Dickinson University’s 30-Credit
University’s Board of Trustees. Off-Campus Master of Administrative Science program in lieu of:
MADS 6600 - Theory and Practice of Administration
MADS 6602 - Personnel Administration.
Ronald E. Calissi, Esq., MAIL THIS APPLICATION & OFFICIAL TRANSCRIPTS TO:
Executive Associate Dean, School of Administrative Science,
Off-Campus Credit Programs Petrocelli College of Continuing Studies
Tel: (201) 692-6522/7172, Fax: (201) 692-7179 Fairleigh Dickinson University, Dickinson Hall – Room 2191,
Email: calissi@fdu.edu 1000 River Road, H-DH2-13, Teaneck, NJ 07666
Webpage: www.fdu.edu/mas
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